# Troy Medicare

> Troy Medicare, operated by Troy Health, Inc. (Charlotte, North Carolina), is a Medicare Advantage
> HMO and HMO D-SNP organization serving Medicare-eligible beneficiaries across 35 North Carolina
> counties under CMS contract H4676. Founded by pharmacists and software engineers, it runs a
> pharmacy-first chronic disease management model supported by its proprietary Troy.AI technology.

Generated: 2026-08-30
Method: generated (no /llms.txt is published by Troy Medicare; https://troymedicare.com/llms.txt returned 404 on 2026-08-30)
Source: https://troymedicare.com plus API Evangelist probes of Troy Medicare's own hosts

## What developers should know first

Troy Medicare publishes **no developer program**: no developer portal, no API reference, no OpenAPI
or other machine-readable contract, no SDKs, no CLI, no MCP server, no A2A agent card, no llms.txt,
no changelog, no status page and no published rate limits. Every one of those was probed on
2026-08-30 and missed. Two OAuth 2.0 / OpenID Connect authorization servers ARE served from the
company's own hosts and are the only machine-readable surface it exposes anonymously.

## Machine-readable surfaces that exist

- [Provider portal OIDC discovery](https://provider.troymedicare.com/.well-known/openid-configuration): OpenID Connect discovery document for the secure provider portal (member eligibility, claim status, payment history). 35 scopes, 37 claims, PKCE, device-code, introspection, revocation, front- and back-channel logout.
- [Provider portal JWKS](https://provider.troymedicare.com/.well-known/openid-configuration/jwks): signing keys for the provider portal issuer.
- [FHIR host OIDC discovery](https://fhir.troymedicare.com/.well-known/openid-configuration): OAuth 2.0 authorization and token endpoints for the health plan's FHIR data surface. No scopes_supported, no SMART configuration, no CapabilityStatement is reachable anonymously.
- [FHIR host JWKS](https://fhir.troymedicare.com/.well-known/jwk): signing keys for the FHIR issuer.

## Human surfaces

- [Troy Medicare](https://troymedicare.com): company home.
- [About Troy Medicare](https://troymedicare.com/about): company history, pharmacy-first model, Troy.AI.
- [Our Approach](https://troymedicare.com/our-approach): care delivery model.
- [Troy Medicare (HMO)](https://troymedicare.com/troy-medicare-hmo): plan H4676-001 — $0 premium, $0 deductible, $3,950 maximum out of pocket.
- [Troy Medicare (HMO D-SNP)](https://troymedicare.com/troy-medicare-dsnp): plan H4676-002 for dual-eligible beneficiaries.
- [Summary of Benefits](https://troymedicare.com/summary-of-benefits): 2026 Summary of Benefits PDFs for both plans.
- [Documents & Forms](https://troymedicare.com/documents-and-forms): EOC, formulary, ANOC, medical policies.
- [For Providers](https://troymedicare.com/providers): prior authorization, provider contracting, secure provider portal.
- [Prior Authorization Code Search](https://troymedicare.com/for-providers/prior-authorization-code-search): look up whether a code requires prior authorization.
- [Find a Provider](https://troymedicare.com/find-a-provider): human provider directory search (no machine-readable directory endpoint published).
- [For Brokers](https://troymedicare.com/for-brokers): broker resources.
- [Compliance & Member Protections](https://troymedicare.com/compliance): CMS seven-element compliance program, FDR compliance guide, code of conduct, HIPAA policies.
- [Your Coverage Rights](https://troymedicare.com/your-coverage-rights): member rights, appeals, grievances.
- [Press](https://troymedicare.com/press): company news and member health content.
- [Contact Us](https://troymedicare.com/contact-us): 1-888-494-TROY (8769), TTY 711.
- [Terms of Use](https://troymedicare.com/terms-of-use)
- [Privacy Policy](https://troymedicare.com/privacy-policy)
- [Sign up for coverage](https://troymedicare.com/sign-up-for-coverage)

## Portals (credentialed, not APIs)

- Member self-service portal: https://selfservice.troymedicare.com
- Provider portal: https://provider.troymedicare.com (register by emailing the provider request form to network@troymedicare.com)
- Broker portal: https://broker.troymedicare.com
- Troy.AI portal: https://portal.troymedicare.com

## What an agent cannot do here

There is no public API contract, no application-registration path, no sandbox and no documented
scopes for the FHIR surface. Under CMS-9115-F a Medicare Advantage organization is expected to
operate a Patient Access API and an unauthenticated Provider Directory API; neither is discoverable
from Troy Medicare's public surface, and API Evangelist records that as unverified rather than
asserting either way.

## API Evangelist artifacts in this repository

- well-known/troy-medicare-well-known.yml — /.well-known/ probe results for all seven hosts
- authentication/troy-medicare-authentication.yml — both OAuth 2.0 / OIDC profiles
- scopes/troy-medicare-scopes.yml — the 35 advertised provider-portal scopes
- conformance/troy-medicare-conformance.yml — what is and is not verifiably conformant
- plans/troy-medicare-plans-pricing.yml — no API plans; 2026 insurance product pricing
- rate-limits/troy-medicare-rate-limits.yml — no published limits
- security/ — domain security posture probes